Provider Demographics
NPI:1386349660
Name:HEALTH LEAGUE LLC
Entity type:Organization
Organization Name:HEALTH LEAGUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MENDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-755-6679
Mailing Address - Street 1:3611 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3773
Mailing Address - Country:US
Mailing Address - Phone:917-755-6679
Mailing Address - Fax:
Practice Address - Street 1:3611 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3773
Practice Address - Country:US
Practice Address - Phone:917-755-6679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management